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    Anatomy MS WristJointSGD

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    Spencer
    The wrist joint, also known as the radiocarpal joint, is an ellipsoid synovial joint between the distal end of the radius and articular disc above and scaphoid, lunate, and triquetral bones below. It is enclosed by a joint capsule strengthened by ligaments and lined by synovial membrane. The joint allows for flexion, extension, abduction, adduction, and circumduction but not rotation. Multiple tendons and nerves pass anteriorly and posteriorly to the joint.

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    Anatomy MS WristJointSGD

    Uploaded by

    Spencer
    79 views24 pages
    The wrist joint, also known as the radiocarpal joint, is an ellipsoid synovial joint between the distal end of the radius and articular disc above and scaphoid, lunate, and triquetral bones below. It is enclosed by a joint capsule strengthened by ligaments and lined by synovial membrane. The joint allows for flexion, extension, abduction, adduction, and circumduction but not rotation. Multiple tendons and nerves pass anteriorly and posteriorly to the joint.

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    Anatomy

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    The wrist joint, also known as the radiocarpal joint, is an ellipsoid synovial joint between the distal end of the radius and articular disc above and scaphoid, lunate, and triquetral bones below. It is enclosed by a joint capsule strengthened by ligaments and lined by synovial membrane. The joint allows for flexion, extension, abduction, adduction, and circumduction but not rotation. Multiple tendons and nerves pass anteriorly and posteriorly to the joint.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    79 views24 pages

    Anatomy MS WristJointSGD

    Uploaded by

    Spencer
    The wrist joint, also known as the radiocarpal joint, is an ellipsoid synovial joint between the distal end of the radius and articular disc above and scaphoid, lunate, and triquetral bones below. It is enclosed by a joint capsule strengthened by ligaments and lined by synovial membrane. The joint allows for flexion, extension, abduction, adduction, and circumduction but not rotation. Multiple tendons and nerves pass anteriorly and posteriorly to the joint.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 24

    Wrist Joint (RadiocarpalJoint)

    Articulation: Between the distal end of the radius and the articular disc above and the scaphoid, lunate, and triquetral bones below. The proximal articular surface forms an ellipsoid concave surface, which is adapted to the distal ellipsoid convex surface.

    Wrist Joint (RadiocarpalJoint)

    Type: Synovial ellipsoid joint


    Capsule: The capsule encloses the joint and is attached above to the distal ends of the radius and ulna and below to the proximal row of carpal bones. Ligaments: Anterior and posterior ligaments strengthen the capsule. The ulnar collateral ligament is attached to the styloid process of the ulna and to the triquetral bone. The radial collateral ligament is attached to the styloid process of the radius and to the scaphoid bone

    Wrist Joint (RadiocarpalJoint)

    Synovial membrane: This lines the capsule and is attached to the margins of the articular surfaces. The joint cavity does not communicate with that of the distal radioulnar joint or with the joint cavities of the intercarpal joints. Nerve supply: Anterior interosseous nerve and the deep branch of the radial nerve Blood supply: Anterior and posterior carpal arches.

    Wrist Joint (RadiocarpalJoint)


    Movements

    The following movements are possible: flexion, extension, abduction, adduction, and circumduction. Rotation is not possible because the articular surfaces are ellipsoid shaped. The lack of rotation is compensated for by the movements of pronation and supination of the forearm. Flexion is performed by the flexor carpi radialis, the flexor carpi ulnaris, and the palmaris longus. These muscles are assisted by the flexor digitorum superficialis, the flexor digitorum profundus, and the flexor pollicis longus

    Wrist Joint (RadiocarpalJoint)

    Extension is performed by the extensor carpi radialis longus, the extensor carpi radialis brevis, and the extensor carpi ulnaris. These muscles are assisted by the extensor digitorum, the extensor indicis, the extensor digiti minimi, and the extensor pollicis longus.
    Abduction is performed by the flexor carpi radialis and the extensor carpi radialis longus and brevis. These muscles are assisted by the abductor pollicis longus and extensor pollicis longus and brevis. Adduction is performed by the flexor and extensor carpi ulnaris

    Wrist Joint (RadiocarpalJoint)


    Important Relations

    Anteriorly: The tendons of the flexor digitorum profundus and superficialis, the flexor pollicis longus, the flexor carpi radialis, the flexor carpi ulnaris, and the median and ulnar nerves

    Posteriorly: The tendons of the extensor carpi ulnaris, the extensor digiti minimi, the extensor digitorum, the extensor indicis, the extensor carpi radialis longus and brevis, the extensor pollicis longus and brevis, and the abductor pollicis longus
    Medially: The posterior cutaneous branch of the ulnar nerve Laterally: The radial artery

    Hinge Joint

    Ball and socket Joint

    Saddle joint

    Structures on the Anterior Aspect of the Wrist


    The following structures pass superficial to the flexor retinaculum from medial to lateral. Flexor carpi ulnaris tendon, ending on the pisiform bone. (This tendon does not actually cross the flexor retinaculum but is included for the sake of completeness.) Ulnar nerve lies lateral to the pisiform bone. Ulnar artery lies lateral to the ulnar nerve. Palmar cutaneous branch of the ulnar nerve Palmaris longus tendon (if present), passing to its insertion into the flexor retinaculum and the palmar aponeurosis Palmar cutaneous branch of the median nerve

    Structures on the Anterior Aspect of the Wrist


    The following structures pass beneath the flexor retinaculum from medial to lateral

    Flexor digitorum superficialis tendons and, posterior to these, the tendons of the flexor digitorum profundus; both groups of tendons share a common synovial sheath. Median nerve Flexor pollicis longus tendon surrounded by a synovial sheath Flexor carpi radialis tendon going through a split in the flexor retinaculum. The tendon is surrounded by a synovial sheath.

    Structures on the Posterior Aspect of the Wrist


    The following structures pass superficial to the extensor retinaculum from medial to lateral. Dorsal (posterior) cutaneous branch of the ulnar nerve Basilic vein Cephalic vein Superficial branch of the radial nerve

    Structures on the Posterior Aspect of the Wrist


    The following structures pass beneath the extensor retinaculum from medial to lateral. Extensor carpi ulnaris tendon, which grooves the posterior aspect of the head of the ulna Extensor digiti minimi tendon is situated posterior to the distal radioulnar joint. Extensor digitorum and extensor indicis tendons share a common synovial sheath and are situated on the lateral part of the posterior surface of the radius. Extensor pollicis longus tendon winds around the medial side of the dorsal tubercle of the radius.

    Structures on the Posterior Aspect of the Wrist


    Extensor carpi radialis longus and brevis tendons share a common synovial sheath and are situated on the lateral part of the posterior surface of the radius. Abductor pollicis longus and the extensor pollicis brevis tendons have separate synovial sheaths but share a common compartment

    Structures on the Posterior Aspect of the Wrist

    Beneath the extensor retinaculum, fibrous septa pass to the underlying radius and ulna and form six compartments that contain the tendons of the extensor muscles. Each compartment is provided with a synovial sheath, which extends above and below the retinaculum. The radial artery reaches the back of the hand by passing between the lateral collateral ligament of the wrist joint and the tendons of the abductor pollicis longus and extensor pollicis brevis.

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